髂窝脓肿的诊断和治疗

Retroperitoneal Iliae Fossa Abscess: Diagnosis and Management

1983～1988年之间收治髂窝脓肿21例,邻近感染病灶的继发感染多见,致病菌以金黄色葡萄球菌多见.初期不易诊断,首先应以 X 线摄影排除骨疾病,主要临床表现有畏寒、发烧、弛张热、髂腰及髋关节部疼痛、髋关节屈曲、腹股沟部肿胀并扪及无波动性肿块.通过排泄性尿路造影可排除泌尿系疾病,B 超检查有助于肯定诊断,穿刺抽得脓液是诊断的重要依据.经切开排脓和穿刺抽脓获得满意疗效.

In the last 6 years,21 cases of retroperitoneal iliac fossa abscess were treated.The main cause of infection was secondary infection with the suppurative focus nearby and staphylococcus aureus was an important kind of pathogenic bacteria.In the initial stage,diagnosis was difficult in this series.It is believed that first of all,bone change must be evaluation by X-ray examination and clinical manifestation.Echo is the most sensitive means for diagnosis,and the excretory abstractionurogram is conducive to differential diagnosis.The most important is puncture and the abstraction of pus.The result of the treatment was satisfactory with incision-drainage,abstraction of pus.